No office rate
21137 is the contouring-only option. Report 21139 when frontal bone setback is also performed.
On this page
CMS RVU26D · Effective 2026-10-01
21139 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$989.31
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Craniofacial surgery
About 21139: Forehead contouring with bone setback
Reports forehead reconstruction that combines brow contouring with setback of the frontal bone, commonly performed for craniofacial or gender-affirming facial surgery.
This operation reshapes the forehead and brow and sets back the frontal bone to change the forehead’s projection. It is performed by craniofacial or plastic surgeons, often as part of facial feminization surgery or reconstruction for a craniofacial deformity. The operative work may involve exposing and reshaping the bone, repositioning it, and securing it in the planned contour. The setting is typically a hospital operating room.
Select this code when the documented procedure includes both contouring and bone setback; contouring alone or a prosthetic approach has a different code in this family. The operative report should describe the bone work, setback, and brow contouring performed. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 21139
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.64 · 50%
- Practice expense (office) RVU12.11 · 41%
- Malpractice RVU2.72 · 9%
17
Medicare services in 2024 · #5989 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
21139 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
21138 describes forehead contouring with a prosthetic approach; 21139 describes contouring with bone setback.
No office rate
21172 is a related supraorbital and lower-forehead reconstruction option. Distinguish it from 21139 by the operative anatomy and work documented.
No office rate
21175 addresses reconstruction involving the supraorbital rim and lower forehead. Use 21139 for the documented forehead contouring and setback procedure.
The same code, a different location
How does Redding compare?
21139 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 21139
Office
Unavailable
Facility
$989.31
No comparable office rate is available.
Merced
California · 21139
Office
Unavailable
Facility
$989.31
No comparable office rate is available.
Modesto
California · 21139
Office
Unavailable
Facility
$989.31
No comparable office rate is available.
Napa
California · 21139
Office
Unavailable
Facility
$1099.06
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 21139
Office
Unavailable
Facility
$1037.38
No comparable office rate is available.
Rest Of California
California · 21139
Office
Unavailable
Facility
$989.31
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 21139
Office
Unavailable
Facility
$1018.60
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 21139
Office
Unavailable
Facility
$1025.70
No comparable office rate is available.
Salinas
California · 21139
Office
Unavailable
Facility
$1021.64
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 21139
Office
Unavailable
Facility
$1036.66
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 21139
Office
Unavailable
Facility
$1147.47
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 21139
Office
Unavailable
Facility
$1144.38
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 21139
Office
Unavailable
Facility
$1174.74
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 21139
Office
Unavailable
Facility
$1162.11
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 21139
Office
Unavailable
Facility
$1006.71
No comparable office rate is available.
Santa Cruz-Watsonville
California · 21139
Office
Unavailable
Facility
$1039.40
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 21139
Office
Unavailable
Facility
$1023.01
No comparable office rate is available.
Santa Rosa-Petaluma
California · 21139
Office
Unavailable
Facility
$1049.06
No comparable office rate is available.
Stockton
California · 21139
Office
Unavailable
Facility
$989.31
No comparable office rate is available.
Vallejo
California · 21139
Office
Unavailable
Facility
$1094.61
No comparable office rate is available.
Visalia
California · 21139
Office
Unavailable
Facility
$989.31
No comparable office rate is available.
Yuba City
California · 21139
Office
Unavailable
Facility
$989.31
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 21139
Office
Unavailable
Facility
$1092.99
No comparable office rate is available.
Miami
Florida · 21139
Office
Unavailable
Facility
$1139.82
No comparable office rate is available.
Chicago
Illinois · 21139
Office
Unavailable
Facility
$1107.42
No comparable office rate is available.
Manhattan
New York · 21139
Office
Unavailable
Facility
$1134.38
No comparable office rate is available.
Alaska*
Alaska · 21139
Office
Unavailable
Facility
$1214.32
No comparable office rate is available.
Alabama
Alabama · 21139
Office
Unavailable
Facility
$894.33
No comparable office rate is available.
Arkansas
Arkansas · 21139
Office
Unavailable
Facility
$883.23
No comparable office rate is available.
Arizona
Arizona · 21139
Office
Unavailable
Facility
$958.70
No comparable office rate is available.
Colorado
Colorado · 21139
Office
Unavailable
Facility
$996.18
No comparable office rate is available.
Connecticut
Connecticut · 21139
Office
Unavailable
Facility
$1044.33
No comparable office rate is available.
Delaware
Delaware · 21139
Office
Unavailable
Facility
$972.74
No comparable office rate is available.
Fort Lauderdale
Florida · 21139
Office
Unavailable
Facility
$1062.99
No comparable office rate is available.
Rest Of Florida
Florida · 21139
Office
Unavailable
Facility
$1012.22
No comparable office rate is available.
Atlanta
Georgia · 21139
Office
Unavailable
Facility
$1010.52
No comparable office rate is available.
Rest Of Georgia
Georgia · 21139
Office
Unavailable
Facility
$958.08
No comparable office rate is available.
Hawaii, Guam
Hawaii · 21139
Office
Unavailable
Facility
$1001.49
No comparable office rate is available.
Iowa
Iowa · 21139
Office
Unavailable
Facility
$895.16
No comparable office rate is available.
Idaho
Idaho · 21139
Office
Unavailable
Facility
$904.09
No comparable office rate is available.
East St. Louis
Illinois · 21139
Office
Unavailable
Facility
$1044.09
No comparable office rate is available.
Rest Of Illinois
Illinois · 21139
Office
Unavailable
Facility
$1000.28
No comparable office rate is available.
Suburban Chicago
Illinois · 21139
Office
Unavailable
Facility
$1068.81
No comparable office rate is available.
Indiana
Indiana · 21139
Office
Unavailable
Facility
$908.10
No comparable office rate is available.
Kansas
Kansas · 21139
Office
Unavailable
Facility
$900.43
No comparable office rate is available.
Kentucky
Kentucky · 21139
Office
Unavailable
Facility
$931.70
No comparable office rate is available.
New Orleans
Louisiana · 21139
Office
Unavailable
Facility
$972.82
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 21139
Office
Unavailable
Facility
$933.99
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 21139
Office
Unavailable
Facility
$1072.85
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 21139
Office
Unavailable
Facility
$995.14
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 21139
Office
Unavailable
Facility
$1043.21
No comparable office rate is available.
Rest Of Maryland
Maryland · 21139
Office
Unavailable
Facility
$986.62
No comparable office rate is available.
Rest Of Maine
Maine · 21139
Office
Unavailable
Facility
$917.62
No comparable office rate is available.
Southern Maine
Maine · 21139
Office
Unavailable
Facility
$947.16
No comparable office rate is available.
Detroit
Michigan · 21139
Office
Unavailable
Facility
$1032.49
No comparable office rate is available.
Rest Of Michigan
Michigan · 21139
Office
Unavailable
Facility
$960.85
No comparable office rate is available.
Minnesota
Minnesota · 21139
Office
Unavailable
Facility
$932.10
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 21139
Office
Unavailable
Facility
$957.56
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 21139
Office
Unavailable
Facility
$965.09
No comparable office rate is available.
Rest Of Missouri
Missouri · 21139
Office
Unavailable
Facility
$926.14
No comparable office rate is available.
Mississippi
Mississippi · 21139
Office
Unavailable
Facility
$904.39
No comparable office rate is available.
Montana**
Montana · 21139
Office
Unavailable
Facility
$984.14
No comparable office rate is available.
North Carolina
North Carolina · 21139
Office
Unavailable
Facility
$924.43
No comparable office rate is available.
North Dakota**
North Dakota · 21139
Office
Unavailable
Facility
$930.36
No comparable office rate is available.
Nebraska
Nebraska · 21139
Office
Unavailable
Facility
$896.67
No comparable office rate is available.
New Hampshire
New Hampshire · 21139
Office
Unavailable
Facility
$989.55
No comparable office rate is available.
Northern Nj
New Jersey · 21139
Office
Unavailable
Facility
$1086.03
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 21139
Office
Unavailable
Facility
$1049.91
No comparable office rate is available.
New Mexico
New Mexico · 21139
Office
Unavailable
Facility
$969.01
No comparable office rate is available.
Nevada**
Nevada · 21139
Office
Unavailable
Facility
$969.56
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 21139
Office
Unavailable
Facility
$1169.93
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 21139
Office
Unavailable
Facility
$1063.83
No comparable office rate is available.
Queens
New York · 21139
Office
Unavailable
Facility
$1129.39
No comparable office rate is available.
Rest Of New York
New York · 21139
Office
Unavailable
Facility
$937.12
No comparable office rate is available.
Ohio
Ohio · 21139
Office
Unavailable
Facility
$949.86
No comparable office rate is available.
Oklahoma
Oklahoma · 21139
Office
Unavailable
Facility
$920.78
No comparable office rate is available.
Portland
Oregon · 21139
Office
Unavailable
Facility
$1013.79
No comparable office rate is available.
Rest Of Oregon
Oregon · 21139
Office
Unavailable
Facility
$955.72
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 21139
Office
Unavailable
Facility
$1027.24
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 21139
Office
Unavailable
Facility
$946.16
No comparable office rate is available.
Puerto Rico
Puerto Rico · 21139
Office
Unavailable
Facility
$987.41
No comparable office rate is available.
Rhode Island
Rhode Island · 21139
Office
Unavailable
Facility
$997.15
No comparable office rate is available.
South Carolina
South Carolina · 21139
Office
Unavailable
Facility
$939.96
No comparable office rate is available.
South Dakota**
South Dakota · 21139
Office
Unavailable
Facility
$924.00
No comparable office rate is available.
Tennessee
Tennessee · 21139
Office
Unavailable
Facility
$905.45
No comparable office rate is available.
Austin
Texas · 21139
Office
Unavailable
Facility
$998.41
No comparable office rate is available.
Beaumont
Texas · 21139
Office
Unavailable
Facility
$941.47
No comparable office rate is available.
Brazoria
Texas · 21139
Office
Unavailable
Facility
$964.61
No comparable office rate is available.
Dallas
Texas · 21139
Office
Unavailable
Facility
$974.21
No comparable office rate is available.
Fort Worth
Texas · 21139
Office
Unavailable
Facility
$971.34
No comparable office rate is available.
Galveston
Texas · 21139
Office
Unavailable
Facility
$969.78
No comparable office rate is available.
Houston
Texas · 21139
Office
Unavailable
Facility
$1019.56
No comparable office rate is available.
Rest Of Texas
Texas · 21139
Office
Unavailable
Facility
$954.88
No comparable office rate is available.
Utah
Utah · 21139
Office
Unavailable
Facility
$950.79
No comparable office rate is available.
Virginia
Virginia · 21139
Office
Unavailable
Facility
$950.74
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 21139
Office
Unavailable
Facility
$987.41
No comparable office rate is available.
Vermont
Vermont · 21139
Office
Unavailable
Facility
$935.40
No comparable office rate is available.
Rest Of Washington
Washington · 21139
Office
Unavailable
Facility
$990.41
No comparable office rate is available.
Seattle (King Cnty)
Washington · 21139
Office
Unavailable
Facility
$1083.97
No comparable office rate is available.
Wisconsin
Wisconsin · 21139
Office
Unavailable
Facility
$904.47
No comparable office rate is available.
West Virginia
West Virginia · 21139
Office
Unavailable
Facility
$970.49
No comparable office rate is available.
Wyoming**
Wyoming · 21139
Office
Unavailable
Facility
$960.70
No comparable office rate is available.
See how rates vary across the country
21139 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 21139 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1088.24
$989.31 × 110% = $1088.24
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 21139 in Redding.
PPRRVU2026_Oct_nonQPP.csv
1,885
- Code
- 21139
- Physician work
- 14.64
- Practice expense
- 12.11
- Malpractice
- 2.72
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.64 | × 1.017 | 14.8889 |
| Practice expense | 12.11 | × 1.096 | 13.2726 |
| Malpractice | 2.72 | × 0.536 | 1.4579 |
| Total RVUs | 29.6194 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$989.31
Open 21139 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.64 | 1.017 |
| Practice expense | 12.11 | 1.096 |
| Malpractice | 2.72 | 0.536 |
(14.64 × 1.017 + 12.11 × 1.096 + 2.72 × 0.536) × $33.4009 = $989.31
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
21139 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $989.31 | RVU26D |
| 2026-07-01 | Not available in this setting | $989.31 | RVU26C |
| 2026-04-01 | Not available in this setting | $989.31 | RVU26B |
| 2026-01-01 | Not available in this setting | $989.31 | RVU26A |
| 2025-10-01 | Not available in this setting | $1078.27 | RVU25D |
| 2025-07-01 | Not available in this setting | $1078.27 | RVU25C |
| 2025-04-01 | Not available in this setting | $1078.27 | RVU25B |
| 2025-01-01 | Not available in this setting | $1078.27 | RVU25A |
21139 billing questions
How does 21139 differ from 21137?
21139 is for forehead contouring that also includes setback of the frontal bone. Use 21137 when the documented work is forehead contouring without setback.
How does 21139 differ from 21138?
21138 describes forehead contouring with a prosthetic approach. 21139 describes contouring with bone setback; select based on the work documented in the operative report.
Can modifier 50 be reported?
No. Bilateral adjustment does not apply to this code, and modifier 50 is inappropriate for its descriptor and anatomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What documentation supports reporting 21139?
The operative report should identify the forehead and brow work and document frontal bone setback, distinguishing it from contouring alone or a prosthetic approach.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,88221127,,Augmentation mndblr b1 grf,A,,12.13,105.28,,7.31,,1.39,118.80,20.83,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,88321137,,Rdctj forehead cntrg only,A,,9.98,8.68,NA,8.68,,1.85,20.51,20.51,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,88421138,,Rdctj forehead cntrg&prostc,A,,12.55,9.86,NA,9.86,,2.34,24.75,24.75,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,88521139,,Rdctj forehead cntrg&setback,A,,14.64,12.11,NA,12.11,,2.72,29.47,29.47,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,88621141,,Rcnstj midface lefort i 1pc,A,,19.08,14.34,NA,14.34,,2.76,36.18,36.18,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,88721142,,Rcnstj midface lefort i 2pcs,A,,19.77,14.43,NA,14.43,,2.87,37.07,37.07,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,88821143,,Rcnstj mdface lefort i 3/>pc,A,,20.52,14.63,NA,14.63,,2.98,38.13,38.13,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536